Event Abstract

Intensive multi-modal neuro-rehabilitation program for a case of post-concussion syndrome in a professional hockey player.

  • 1 Carrick Institute, Neurology, United States

Objective: Neurological improvements in a professional hockey player suffering with post-concussive syndrome (PCS) following an intensive multi-modal neuro-rehabilitation program is described. Clinical Features: The subject is a 33-year-old male with a history of multiple concussions, the latest of which occurred one month prior and arrested his ability to play hockey. His symptoms included “blurry vision, dizziness and neck pain.” Examination revealed poor optokinetic responses (OKR), aberrancies in right-sided rapid-alternating movements (RAM) of the upper and lower extremities and loss of associated movements in gait, worsened by dual tasking. Interventions and Outcomes: A patient specific protocol was designed utilizing a novel combination of electrical stimulation protocols, neuromuscular re-education, vestibular rehabilitation both in the lab and on the ice in 3 one-hour sessions daily for 5 days. Post-treatment exam findings include normalization of OKR, RAM and gait parameters, as well as subjective amelioration of dizziness, blurred vision and neck pain. Of significance, other neurological functions also improved, and he was able to return to competition. Conclusions: Utilizing findings from a functional neurological exam, an intensive multi-modal neuro-rehabilitation program was developed and implemented to address functional deficits following PCS. In response to the 5-day treatment, the subject demonstrated significant subjective and objective improvement that allowed him to return to competition. With further investigation, this may provide a form of therapy for other individuals with PCS.

Keywords: post concussive syndrome, PCS, MTBI, Brain Injury, vestibular, balance, stability, Dizziness, coordination, Neuro rehabilitation, Vestibular Rehabilitation, Functional Neurology

Conference: International Symposium on Clinical Neuroscience: TBI and Neurodegeneration, Orlando, Florida, United States, 10 Dec - 14 Dec, 2015.

Presentation Type: Poster Presentation

Topic: Case Reports for Poster Presentation

Citation: Keiser ND (2015). Intensive multi-modal neuro-rehabilitation program for a case of post-concussion syndrome in a professional hockey player.. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: TBI and Neurodegeneration. doi: 10.3389/conf.fneur.2015.58.00053

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Received: 30 Oct 2015; Published Online: 02 Nov 2015.

* Correspondence: Dr. Nathan D Keiser, Carrick Institute, Neurology, Cape Canaveral, FL, United States, dockeiser@gmail.com